United Nations – Selected Meetings Coverage and Press Releases [to 12 July 2014]

United Nations – Selected Meetings Coverage and Press Releases [to 12 July 2014]

:: Speakers Call for New Development Cooperation Strategies in Post-2015 Agenda, as Economic and Social Council Commences Forum (10 July 2014)
:: Concluding First Political Forum, Economic and Social Council Adopts Declaration Placing Sustainability at Core of Post-2015 Agenda (9 July 2014)
:: Accounting Methods that Capture Value of Nature Can Lead to Smarter Decisions on Sustainable Development, Speaker Tells Economic and Social Council (2 July 2014)
:: Ensuring Better Lives for Future Generations among Key Sustainable Development Challenges, Delegates in High-Level Political Forum Told (1 July 2014)
:: Significant Gaps in Implementing Sustainable Development Exist at All Levels, Under-Secretary-General Tells Economic and Social Council (30 June 2014)

Press Releases
:: Remembering Legacy of Nelson Mandela, Secretary-General Says Leader Showed ‘Human Rights and Equality are Stronger than Discrimination and Hate’ (11 July 2014)
:: Secretary-General Calls on All with Influence to Prioritize Nearly 2 Billion Young People in Development Plans, Easing Critical Transition to Adulthood (8 July 2014)
:: Achieving Millennium Goals Will Require Addressing Imbalances through Bolder Interventions, Secretary-General Tells Economic and Social Council Forum (7 July 2014)
:: World’s Toughest Challenges Demand Solutions Involving Business, Secretary-General Says at Global Compact Event (2 July 2014)
:: Proposed Partnership Facility Aims to Build Capacity for Private-Sector Engagement, Secretary-General Tells Global Compact Board Meeting (2 July 2014)

UNICEF [to 12 July 2014]

UNICEF [to 12 July 2014]

Media Releases [selected]
UNICEF teams up with musician BANKS to empower girls through football
NEW YORK, 11 July 2014 – As the 2014 World Cup winds down in Brazil, UNICEF today released a unique new music video which highlights how football has the power to transform and improve the lives of children. The video is part of the global #TeamUNICEF campaign and features the song ‘Goddess’ by the musician BANKS, focusing on the experiences of adolescent girls on and off the football field.

Misconceptions fuel Ebola outbreak in West Africa
GENEVA/DAKAR, Senegal, 11 July 2014 – As the Ebola-related death toll rises above 500 in West Africa, UNICEF and its partners are expanding their activities across the region to halt the spread of the disease by combating rumours, fears and misconceptions.

Escalating violence in the Gaza Strip and Israel threatens devastating harm for children – UNICEF
NEW YORK, 10 July 2014 – The escalating violence in Gaza and Israel threatens devastating harm for children on all sides, UNICEF said today, urging restraint to protect all children.

UNICEF and WFP stepping up assistance to desperate people in remote areas of South Sudan
JUBA, South Sudan, 8 July 2014 – UNICEF and the United Nations World Food Programme (WFP) are stepping up joint missions to reach desperate people in remote areas of South Sudan where the number of children at risk of death from malnutrition-related causes has increased dramatically and a hunger catastrophe is looming.

Number of Syrian children in need increased by 2 million while UNICEF’s funding crisis looms
AMMAN, 5 July 2014 – Well into the fourth year of the Syrian crisis, its impact on children is becoming ever more devastating, newly-released United Nations data shows.

Urgent need to improve the situation of children in Myanmar’s Rakhine State
NEW YORK, 4 July 2014 – More than 105,000 children in Myanmar’s Rakhine State have been affected by inter-communal violence, including 78,000 displaced children living in rural camps in appalling conditions. They, and other vulnerable children, cannot wait. Their needs demand an urgent response.

USAID and UNICEF partner to get urgent supplies to conflict-affected children in Central African Republic
BANGUI, Central African Republic, 3 July 2014 – A cargo plane carrying over 186 metric tons of emergency supplies for children in conflict-affected Central African Republic (CAR) arrived this week in Bangui. The airlift and supplies, provided by USAID’s Office of U.S. Foreign Disaster Assistance (USAID/OFDA), include 24,080 buckets, 24,000 wool blankets, 12,000 kitchen sets, 1,090 rolls of plastic sheeting and 28 crates of water bladder kits which will be distributed to highly vulnerable populations. The flight is the first of a two-part airlift to benefit 60,000 vulnerable people. The second airlift is scheduled to arrive in two weeks.

Cameroon: Alarming levels of malnutrition among refugee children and women from Central African Republic
YAOUNDE, Cameroon/DAKAR, 3 July 2014 – In Cameroon, up to 1 out of 3 refugee children from Central African Republic suffer from malnutrition, a recent United Nations assessment found.

UNICEF Statement on violence against children in Jerusalem and the West Bank
NEW YORK, 2 July 2014 – “The justified outrage at the killing of a Palestinian teenager in Jerusalem today, and that seen at the funerals yesterday of three young Israelis murdered in the West Bank, are a reminder that we must never become accustomed to such attacks against children, anywhere, in any way, and at any time.

UNICEF reaches displaced children in Iraq’s Sinjar Province
DOHUK, Iraq, 2 July 2014 – UNICEF said today it made its first delivery of essential humanitarian supplies to Sinjar, a town in the western Ninevah Governorate of Iraq, to assist some of the thousands of people who fled there over the past few days.

Concerted international efforts needed to avert crisis in Somalia and Yemen, say UN emergency directors
NEW YORK, 2 July 2014 – John Ging, Operations Director for the Office for the Coordination of Humanitarian Affairs, and Ted Chaiban, Emergency Director of UNICEF, told media after a week-long mission to Somalia and Yemen that urgent action is needed to prevent worsening in crises in both of these fragile contexts, addressing both immediate needs and long term drivers of instability.

UNICEF statement on killing of school girls in Rural Homs
DAMASCUS, 2 July 2014 – UNICEF is appalled at the senseless deaths of four young girls who were killed by a mortar explosion as they left their school in Homs governorate earlier this week (29 June).

UNICEF and EU improve access to safe water for 800,000 people in Bangui
BANGUI, Central African Republic, 1 July 2014 -The European Commission’s Humanitarian Aid & Civil Protection Department (ECHO) and UNICEF have improved access to clean water for around 800,000 people in the conflict-hit capital of Bangui in May and June.

Newborns move to the top of the child survival agenda
JOHANNESBURG, 1 July 2014 – At the conclusion of a global forum here focused on preventing maternal, child and newborn deaths, UNICEF said the commitments made by governments and public and private sector organizations have the potential to transform the outlook for newborn babies, millions of whom die each year.

UNHCR [to 12 July 2014]

UNHCR [to 12 July 2014]

:: 145,000 Syrian refugee women fight for survival as they head families alone.  8 July 2014

:: Returns to Sri Lanka of individuals intercepted at sea  7 July 2014

:: UNHCR warns of dramatic consequences if funding gaps for Syrian refugees continue  3 July 2014

:: UNHCR calls for end to detention of asylum-seekers and refugees 3 July 2014

:: Heads of WFP & UNHCR issue urgent appeal as food shortages hit nearly 800,000 refugees in Africa. 1 July 2014

UNOCHA [to 12 July 2014]

UNOCHA [to 12 July 2014]

Press Releases
09 Jul 2014
Iraq: UN welcomes $10 million donation from Kuwait for humanitarian aid in Iraq
Source: UN Office for the Coordination of Humanitarian Affairs Country: Iraq, Kuwait (Geneva 9 July 2014): The United Nations Office for the Coordination of Humanitarian Affairs (OCHA) today welcomed the generous contribution of US$9.5 million from the State of Kuwait to UN humanitarian agencies and the International Organization for Migration (IOM) responding to the deteriorating humanitarian crisis in Iraq. An additional $500,000 from Kuwait has been allocated to the Kuwait Red Crescent…

08 Jul 2014
Yemen: Statement by Johannes Van Der Klaauw, Humanitarian Coordinator in Yemen
Source: UN Office for the Coordination of Humanitarian Affairs, UN Humanitarian Coordinator in Yemen Country: Yemen Sana’a/New York, 8 July 2014: I am extremely alarmed about the recent escalation of the conflict in Amran Governorate. Over the past few days, violence has displaced thousands of families and affected many more. There are reports of more than 200 civilians, including women and children, having been killed, and thousands of people are reportedly trapped inside the conflict zone…

08 Jul 2014
Somalia: Drought conditions set to worsen Somalia food crisis – Statement by Philippe Lazzarini, Humanitarian Coordinator in Somalia [EN/SO]
Source: UN Office for the Coordination of Humanitarian Affairs, UN Resident and Humanitarian Coordinator for Somalia Country: Somalia Mogadishu, 8 July 2014: “The latest assessments from the Food and Agricultural Organization warn that the food crisis in Somalia will deteriorate in the coming months, with drought conditions already observed in parts of the country due to a poor rainy season. Rainfall was recorded at less than 50 per cent of normal levels during the March to June….

02 Jul 2014
Iraq: Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Valerie Amos statement on Iraq [EN/AR]
Source: UN Office for the Coordination of Humanitarian Affairs Country: Iraq, Saudi Arabia I am deeply concerned by the humanitarian situation in Iraq where more than 1.2 million people have fled their homes, fearing for their lives. As the security situation continues to worsen, I am extremely worried about the families urgently in need of water, food, shelter, healthcare, sanitation and protection from violence. Children are especially vulnerable to outbreaks of disease and malnutrition,…

UNISDR UN Office for Disaster Risk Reduction [to 12 July 2014]

UNISDR UN Office for Disaster Risk Reduction [to 12 July 2014]

Mortality Atlas sets stage for DRR PrepCom
A new review of disaster losses from 1970 to 2012 released today sets the stage for next week’s intergovernmental discussions on a new global framework for disaster risk reduction hosted in Geneva by the UN Office for Disaster Risk
11 Jul 2014

European ministers call for accountability in reducing disaster losses
Efforts to ensure political commitment to a new global agreement on reducing disaster losses have received a major boost as representatives from 40 European countries agreed to a series of sweeping recommendations designed to build resilience to disasters. Europe experienced over 40 major disaster events last year affecting millions. Major flood and hailstorm events generated $25 billion in economic losses.
9 Jul 2014

Economic losses over $100 bn for 4th year
Figures released today show that for the fourth consecutive year, direct economic losses from major reported disasters have exceeded $100 billion. It has happened on seven occasions since 2004 including the last four years: 2010 ($138 bn), 2011 ($371 bn), 2012 ($138 bn) and 2013 ($116 bn). Some 315 disasters killed 22,000 people in 2013 and affected 95 million.
9 Jul 2014

WHO & Regionals [to 12 July 2014]

WHO & Regionals [to 12 July 2014]

:: World Health Statistics 2014
World Health Statistics 2014 contains WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.
This year, it also includes highlight summaries on the ongoing commitment to end preventable maternal deaths; on the need to act now to combat rising levels of childhood obesity; on recent trends.

:: Progress on the health-related Millennium Development Goals (MDGs)
Fact sheet N°290

:: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations
People most at risk of HIV are not getting the health services they need
The guidelines outline steps for countries to reduce new HIV infections and increase access to HIV testing, treatment and care for these five ‘key populations’*. They include a comprehensive range of clinical recommendations but, for these to be effective, WHO also recommends countries need to remove the legal and social barriers that prevent many people from accessing services.
For the first time, WHO strongly recommends men who have sex with men consider taking antiretroviral medicines as an additional method of preventing HIV infection (pre-exposure prophylaxis)** alongside the use of condoms. Rates of HIV infection among men who have sex with men remain high almost everywhere and new prevention options are urgently needed….

:: Member States commit to reduce preventable deaths from heart disease and stroke, cancer, diabetes and lung disease
11 July 2014

:: WHO targets elimination of TB in over 30 countries
3 July 2014

UNDP United Nations Development Programme [to 12 July 2014]

UNDP United Nations Development Programme [to 12 July 2014]

10 Jul 2014
Linking humanitarian, development and climate finance is critical for fragile and conflict-affected States
Three sources of finance – humanitarian, development and climate finance – play a critical role in supporting recovery efforts in fragile and conflict-affected countries, says a report launched today by Helen Clark, Administrator of the United Nations Development Programme (UNDP) and Chair of the United Nations Development Group (UNDG).

10 Jul 2014
Helen Clark: Speech at the Launch of the Financing Recovery for Resilience Report
United Nations, New York

10 Jul 2014
Helen Clark: Opening Statement at the United Nations High-Level Meeting to Undertake the Comprehensive Review and Assessment of the Progress Achieved in the Prevention and Control of NCDs
United Nations, New York

09 Jul 2014
Helen Clark: Opening Speech at the UNDP Side Event on Accelerating Progress, Sustaining Results: Transitioning from MDGs to SDGs
United Nations, New York

07 Jul 2014
Helen Clark: Opening Remarks and Moderation Notes at the Interactive Dialogue of the UN High-Level Political Forum on “A Universal Integrated Policy Agenda to Implement Rio+20 and Realize the Future We Want”

UN Women [to 12 July 2014]

UN Women [to 12 July 2014]

Global Forum on Women in Parliaments in Rwanda
Posted on July 10, 2014
The Global Forum convened by Women in Parliaments (WIP) in Kigali, and co-organized by UN Women, was held from 1 to 3 July 2014. The meeting brought together 200 women leaders from 51 different countries who addressed issues of peace, reconciliation and security, goals for the post-2015 agenda and the impact of gender-sensitive constitutions and legislation.

What women get: promoting transparency and accountability in financing for gender equality and women’s rights
Posted on July 10, 2014
Remarks by John Hendra, Assistant Secretary-General and Deputy Executive Director Policy and Programme, UN Women, at the Development Cooperation Forum Side Event on 10 July, 2014.

UN Women announces Emma Watson as Goodwill Ambassador
Posted on July 7, 2014
UN Women, the United Nations organization dedicated to gender equality and the empowerment of women, today announced the appointment of British Actress, Emma Watson, as Goodwill Ambassador.

UN Women seeks youth nominations for its global and regional Civil Society Advisory Groups
Posted on July 7, 2014
UN Women is issuing a global call for nominations to enlist two new members as youth representatives on its Global Civil Society Advisory Group (GCSAG). Meanwhile, the regional Civil Society Advisory Group for Latin America and the Caribbean is seeking nominations to renew six of its representatives (who have concluded their two-year terms).

Executive Director statement on the situation in Iraq
Posted on July 1, 2014
In a statement on the deteriorating situation in Iraq, UN Women Executive Director Phumzile Mlambo-Ngcuka expressed outrage at the deliberate targeting of women and girls in the country and urged for ‘immediate and urgent steps’ to be taken to ensure the protection of the civilian population, and vulnerable groups.

UNFPA United Nations Population Fund [to 12 July 2014]

UNFPA United Nations Population Fund [to 12 July 2014]

11 July 2014 – Dispatch
On World Population Day, UNFPA calls for investment in youth
UNITED NATIONS, New York – On 11 July, as communities everywhere observe World Population Day, UNFPA calls for investments in support of the largest-ever generation of youth. Young people – those aged 10 to 24 – comprise roughly one quarter of the world’s population, and their aspirations and achievements will shape the future.

09 July 2014 – Statement
Message for World Population Day
Today’s 1.8 billion young people are a powerful force, individually and collectively. They are shaping social and economic realities, challenging norms and values and building the foundation of the world’s future.

03 July 2014 – Press Release
With 546 days left to score Millennium Development Goals, new roadmap released to save lives of additional 140,000 women, 250,000 newborns by end of 2015
KIGALI, Rwanda — At a meeting here of the United Nations Secretary-General’s Millennium Development Goal (MDG) Advocates, key supporters of the health-related MDGs presented an Acceleration Roadmap to save an additional 140,000 women’s and 250,000 newborns’ lives and provide universal access to modern contraceptives. Achieving these is essential to reaching the development goals on maternal and child health by the end of 2015.

30 June 2014 – Press Release
Women, Girls Face Escalating Risk of Violence, Exploitation during Iraq Crisis, Warns UNFPA
UNITED NATIONS, New York – With nearly one million people currently displaced throughout North and Western Iraq, UNFPA, the United Nations Population Fund, warns that about 250,000 women and girls, including nearly 60,000 pregnant women, are in need of urgent care. While an estimated 225 women will give birth every day, approximately 1,000 pregnant women each month will encounter life-threatening complications.

FAO Food & Agriculture Organization [to 12 July 2014]

FAO Food & Agriculture Organization [to 12 July 2014]

OECD and FAO see lower farm prices – livestock and biofuels outpacing crop production
The recent fall in prices of major crops is expected to continue over the next two years before stabilising at levels above the pre-2008 period, but markedly below recent peaks, according to the latest Agricultural Outlook produced by the OECD and FAO.

Fish drying method changes lives in Burundi
An FAO project to equip small fishing communities with the tools and know-how to dry fish on simple raised racks instead of on the sand has changed lives along the shores of Lake Tanganyika in Burundi.

FAO and Thomson Reuters Foundation to launch online food security information service
An agreement signed by FAO Director-General José Graziano da Silva and the Thomson Reuters Foundation Editor-in-Chief Belinda Goldsmith outlines a number of joint activities to be undertaken by the Organization and the Foundation’s global team of journalists covering humanitarian issues, women’s rights, human trafficking, the human impact of climate change and corruption.

UNCTAD [to 12 July 2014]

UNCTAD [to 12 July 2014]

Africa must broaden sources of growth and investment to create employment and reduce poverty
Geneva, Switzerland, (03 July 2014)
Simply increasing the quantity of investment in Africa will not be sufficient to achieve transformational growth, UNCTAD’s Economic Development in Africa Report 20141 argues. Increasing the productivity or quality of investment and ensuring that it goes to strategic and priority sectors of an economy – such as infrastructure, agriculture and manufacturing – are key.
Subtitled Catalysing Investment for Transformative Growth in Africa, the report says that Africa cannot achieve sustained economic growth and transformation without diversifying the sources of its economic growth both on the demand and supply sides of its economies…

USAID [to 12 July 2014]

USAID [to 12 July 2014]

52 finalists advance to round 4 of the Saving Lives at Birth Grand Challenge to Prevent Maternal, Infant Deaths
July 10, 2014
Voting Opens for People’s Choice Award at http://www.savinglivesatbirth.net
The Saving Lives at Birth: A Grand Challenge for Development partners announced the 52 finalists today in its fourth global call for innovative ideas to protect mothers and newborns in the poorest places on earth during their most vulnerable hours.

USAID Invests Over $210 Million to End Wildlife Trafficking and Support Conservation with First Biodiversity Policy
July 8, 2014
Today, U.S. Agency for International Development (USAID) Administrator Rajiv Shah announced more than $210 million to conserve nature in more than 50 countries, including an anticipated $40 million to combat wildlife trafficking, as a first measure in the Agency’s first-ever Biodiversity Policy.

DFID [to 12 July 2014]

DFID [to 12 July 2014]

Greening: End child marriage in a generation
9 July 2014 DFID Press release
Britain will lead international efforts to end child marriage within a generation, Justine Greening will pledge today during a trip to Zambia (Wednesday 9th July).

Greening: New poverty goals must focus on peace, jobs and justice
7 July 2014 DFID Press release
International development must move beyond traditional aid and towards boosting peace, jobs and justice, Development Secretary Justine Greening said today.

Greening pledges new UK help from Syrian border
5 July 2014 DFID Press release
The UK will boost cross-border aid operations into Syria with more than £46 million of new help for civilians in hard to reach areas, International Development Secretary Justine Greening has announced following a visit to the Syrian border.

OECD [to 12 July 2014]

OECD [to 12 July 2014]
Governments must address the vulnerability of social institutions, OECD says
Future generations will pay a high price if countries fail to reform pension, health care and unemployment schemes, according to a new OECD report.

Vulnerability of Social Institutions warns that population ageing and slower growth will threaten the sustainability and the adequacy of benefits in the coming years while undermining the risk sharing across society that social institutions have long provided.

Safety and Immunogenicity of a Rederived, Live-Attenuated Dengue Virus Vaccine in Healthy Adults Living in Thailand: A Randomized Trial

American Journal of Tropical Medicine and Hygiene
July 2014; 91 (1)

Safety and Immunogenicity of a Rederived, Live-Attenuated Dengue Virus Vaccine in Healthy Adults Living in Thailand: A Randomized Trial
Veerachai Watanaveeradej, Robert V. Gibbons, Sriluck Simasathien, Ananda Nisalak, Richard G. Jarman, Angkool Kerdpanich, Elodie Tournay, Rafael De La Barrerra, Francis Dessy, Jean-François Toussaint, Kenneth H. Eckels, Stephen J. Thomas, and Bruce L. Innis
Am J Trop Med Hyg 2014 91:119-128; Published online May 27, 2014, doi:10.4269/ajtmh.13-0452
Safety and immunogenicity of two formulations of a live-attenuated tetravalent dengue virus (TDEN) vaccine produced using rederived master seeds from a precursor vaccine were tested against a placebo control in a phase II, randomized, double blind trial (NCT00370682). Two doses were administered 6 months apart to 120 healthy, predominantly flavivirus-primed adults (87.5% and 97.5% in the two vaccine groups and 92.5% in the placebo group). Symptoms and signs reported after vaccination were mild to moderate and transient. There were no vaccine-related serious adverse events or dengue cases reported. Asymptomatic, low-level viremia (dengue virus type 2 [DENV-2], DENV-3, or DENV-4) was detected in 5 of 80 vaccine recipients. One placebo recipient developed a subclinical natural DENV-1 infection. All flavivirus-unprimed subjects and at least 97.1% of flavivirus-primed subjects were seropositive to antibodies against all four DENV types 1 and 3 months post-TDEN dose 2. The TDEN vaccine was immunogenic with an acceptable safety profile in flavivirus-primed adults.
Disclaimer: E.T., F.D., J.-F.T., and B.L.I. are employees of the GlaxoSmithKline (GSK) group of companies (GSK). F.D., J.-F.T., and B.L.I. own shares and options to shares in GSK. All other authors report no conflict of interest. The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the official views of the US Army, the US Department of Defense, or the Royal Thai Army.

Barriers and facilitators to HPV vaccination of young women in high-income countries: a qualitative systematic review and evidence synthesis

BMC Public Health
(Accessed 12 July 2014)

Research article
Barriers and facilitators to HPV vaccination of young women in high-income countries: a qualitative systematic review and evidence synthesis
Harriet Fisher, Caroline Trotter, Matthew Hickman and Suzanne Audrey
Author Affiliations
BMC Public Health 2014, 14:700 doi:10.1186/1471-2458-14-700
Published: 9 July 2014
Abstract (provisional)
Vaccination against Human Papillomavirus (HPV) is recommended for adolescent young women prior to sexual debut to reduce cervical cancer related mortality and morbidity. Understanding factors affecting decision-making of HPV vaccination of young women is important so that effective interventions can be developed which address barriers to uptake in population groups less likely to receive the HPV vaccine.
We undertook a qualitative systematic review and evidence synthesis to examine decision-making relating to the HPV vaccination for young women in high-income countries. A comprehensive search of databases from inception to March 2012 was undertaken to identify eligible studies reporting the perspectives of key stakeholders including policy makers, professionals involved in programme, parents, and young women. Factors affecting uptake of the vaccine were examined at different levels of the socio-ecological model (policy, community, organisational, interpersonal and intrapersonal).
Forty-one studies were included. Whether young women receive the HPV vaccine is strongly governed by the decisions of policy makers, healthcare professionals, and parents. These decisions are shaped by: financial considerations; social norms and values relating to sexual activity, and; trust in vaccination programmes and healthcare providers. Financial constraints may be overcome through universal healthcare systems offering the HPV vaccine free at the point of delivery. In the healthcare setting, judgements by healthcare professionals about whether to recommend the vaccine may restrict a young woman’s access to the vaccine irrespective of her own beliefs and preferences. Parents may decide not to allow their daughters to be vaccinated, based on cultural or religious perceptions about sexual activity.
Barriers to the uptake of the HPV vaccine have implications for young women’s future sexual, physical and reproductive health. Interventions to address barriers to uptake of the vaccine should target appropriate, and multiple, levels of the socio-ecological model. Issues of trust require clear, accessible, and sometimes culturally appropriate, information about the HPV vaccination programme. Although young women are central to the HPV vaccination programme, their views are underrepresented in the qualitative literature. Future research should consider young women’s perceptions of, and involvement in, consent and decision-making.

Performance of 21 HPV vaccination programs implemented in low and middle-income countries, 2009–2013

BMC Public Health
(Accessed 12 July 2014)

Research article
Performance of 21 HPV vaccination programs implemented in low and middle-income countries, 2009–2013
Joël Ladner1*, Marie-Hélène Besson2, Mariana Rodrigues2, Etienne Audureau3 and Joseph Saba2
Author Affiliations
1 Rouen University Hospital, Epidemiology and Public Health Department, Hôpital Charles Nicolle, 1, rue de Germont, 76 031 Rouen, France
2 Axios International, Paris, France
3 Hôpital Henri Mondor Hospital, Public Health, Assistance Publique Hôpitaux de Paris, Paris Est University, Créteil, France
Cervical cancer is the third most common cancer in women worldwide, with high incidence in lowest income countries. Vaccination against Human Papilloma Virus (HPV) may help to reduce the incidence of cervical cancer. The aim of the study was to analyze HPV vaccination programs performance implemented in low and middle-income countries.
The Gardasil Access Program provides HPV vaccine at no cost to help national institutions gain experience implementing HPV vaccination. Data on vaccine delivery model, number of girls vaccinated, number of girls completing the three-dose campaign, duration of vaccination program, community involvement and sensitization strategies were collected from each program upon completion. Vaccine Uptake Rate (VUR) and Vaccine Adherence between the first and third doses (VA) rate were calculated. Multivariate linear regressions analyses were fitted.
Twenty-one programs were included in 14 low and middle-income countries. Managing institutions were non-governmental organizations (NGOs) (n = 8) or Ministries of Health (n = 13). Twelve programs were school-based, five were health clinic-based and four utilized a mixed model. A total of 217,786 girls received a full course of vaccination.
Mean VUR was 88.7% (SD = 10.5) and VA was 90.8% (SD = 7.3). The mean total number of girls vaccinated per program-month was 2,426.8 (SD = 2,826.6) in school model, 335.1 (SD = 202.5) in the health clinic and 544.7 (SD = 369.2) in the mixed models (p = 0.15). Community involvement in the follow-up of girls participating in the vaccination campaign was significantly associated with VUR. Multivariate analyses identified school-based (β = 13.35, p = 0.001) and health clinic (β = 13.51, p = 0.03) models, NGO management (β = 14.58, p < 10-3) and duration of program vaccination (β = -1.37, p = 0.03) as significant factors associated with VUR.
School and health clinic-based models appeared as predictive factors for vaccination coverage, as was management by an NGO; program duration could play a role in the program’s effectiveness. Results suggest that HPV vaccine campaigns tailored to meet the needs of communities can be effective. These results may be useful in the development of national HPV vaccination policies in low and middle-income countries.

British Medical Journal – 28 June 2014

British Medical Journal
28 June 2014(vol 348, issue 7964)

Making the World Health Assembly fit for the 21st century
Needs better quality of debate and use of technology
BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g4079 (Published 18 June 2014) Cite this as: BMJ 2014;348:g4079
Ilona Kickbusch, professor1, Mathias Bonk, global health consultant2

Global rules for global health: why we need an independent, impartial WHO
BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g3841 (Published 18 June 2014) Cite this as: BMJ 2014;348:g3841
Devi Sridhar, senior lecturer12, J Frenk, dean3, L Gostin, professor4, S Moon, lecturer3
Devi Sridhar and colleagues argue that WHO’s unique political legitimacy makes it essential to achieving international action on global health and call for governments to re-establish guaranteed core funding.

Success factors for reducing maternal and child mortality

Bulletin of the World Health Organization
Volume 92, Number 7, July 2014, 465-544

Success factors for reducing maternal and child mortality
Shyama Kuruvilla, Julian Schweitzer, David Bishai, Sadia Chowdhury, Daniele Caramani, Laura Frost, Rafael Cortez, Bernadette Daelmans, Andres de Francisco, Taghreed Adam, Robert Cohen, Y Natalia Alfonso, Jennifer Franz-Vasdeki, Seemeen Saadat, Beth Anne Pratt, Beatrice Eugster, Sarah Bandali, Pritha Venkatachalam, Rachael Hinton, John Murray, Sharon Arscott-Mills, Henrik Axelson, Blerta Maliqi, Intissar Sarker, Rama Lakshminarayanan, Troy Jacobs, Susan Jacks, Elizabeth Mason, Abdul Ghaffar, Nicholas Mays, Carole Presern, Flavia Bustreo & on behalf of the Success Factors for Women’s and Children’s Health study groups
Reducing maternal and child mortality is a priority in the Millennium Development Goals (MDGs), and will likely remain so after 2015. Evidence exists on the investments, interventions and enabling policies required. Less is understood about why some countries achieve faster progress than other comparable countries. The Success Factors for Women’s and Children’s Health studies sought to address this knowledge gap using statistical and econometric analyses of data from 144 low- and middle-income countries (LMICs) over 20 years; Boolean, qualitative comparative analysis; a literature review; and country-specific reviews in 10 fast-track countries for MDGs 4 and 5a. There is no standard formula – fast-track countries deploy tailored strategies and adapt quickly to change. However, fast-track countries share some effective approaches in addressing three main areas to reduce maternal and child mortality. First, these countries engage multiple sectors to address crucial health determinants. Around half the reduction in child mortality in LMICs since 1990 is the result of health sector investments, the other half is attributed to investments made in sectors outside health. Second, these countries use strategies to mobilize partners across society, using timely, robust evidence for decision-making and accountability and a triple planning approach to consider immediate needs, long-term vision and adaptation to change. Third, the countries establish guiding principles that orient progress, align stakeholder action and achieve results over time. This evidence synthesis contributes to global learning on accelerating improvements in women’s and children’s health towards 2015 and beyond.

Complexity at the social science interface

July/August 2014 Volume 19, Issue 6 Pages fmi–fmi, 1–108

Special Issue: Special Issue on Complexity Science and Social Policy
Complexity at the social science interface
Nigel Gilbert1,* and Seth Bullock2
This article introduces a special issue of Complexity dedicated to the increasingly important element of complexity science that engages with social policy. We introduce and frame an emerging research agenda that seeks to enhance social policy by working at the interface between the social sciences and the physical sciences (including mathematics and computer science), and term this research area the “social science interface” by analogy with research at the life sciences interface. We locate and exemplify the contribution of complexity science at this new interface before summarizing the contributions collected in this special issue and identifying some common themes that run through them.